多方位中医外治法治疗子宫内膜异位症寒凝血瘀型痛经临床疗效观察

Observation on Multi-faceted Surgical Treatment of Traditional Chinese medicine in treating Dysmenorrhea of Endometriosis of Cold Coagulation and Blood Stasis

目的:观察多方位中医外治法治疗子宫内膜异位症(EMs)寒凝血瘀型痛经患者的临床疗效。方法:将60例子宫内膜异位症寒凝血瘀型痛经患者随机分为治疗组和对照组,各30例。治疗组采用多方位中医外治法,对照组采用少腹逐瘀汤口服,治疗3个月经周期。观察各组治疗前后视觉模拟评分(VAS)、汉密顿抑郁量表(HAMD)评分、汉密顿焦虑量表(HAMA)评分。结果:治疗前2组VAS积分、HAMD评分、HAMA评分无明显差异,治疗后2组VAS积分、HAMD评分、HAMA评分均较治疗前明显改善,但改善程度治疗组优于对照组。结论:多方位中医外治法及中药内服均能明显改善患者的痛经症状及焦虑、抑郁状态,但多方位中医外治法作用优于中药内服。

Objective ： To observe the muhi-faeeted Surgical Treatment of Traditional Chinese medicine in treating Dysmen- orrhea of Endometriosis of Cold Coagulation and Blood Stasis Methods：Sixty subjects were randomized into two groups, treatment group in which 35 cases were treated by muhi-faceted Surgical Treatment of Traditional Chinese medicine（ con- tains wearing Sachet and moxibustion on navel and foot bath with Chinese medicine ） , control group in which 35 cases were treated by ＂Shaofu Zhuyu Tang＂ , with a course of three men-strual cycles.The pain VAS , Hamilton depression scale （ HAMD ） scores and Hamilton anxiety scale （ HAMA ） score were evaluated. Results ： Two groups of VAS score , HAMD scores and HAMA scores before treatment have no obvious difference, but after treatment the scores is signifi- cantly improved.Conclusion ： The muhi-faceted surgical treatment of traditional chinese medicine and taking chinese medicine can improve the patient＇s dysmenorrhea , of traditional chinese medicine is better than taking anxiety and depressive state, but the muhi-faceted surgical treatment chinese medicine.